Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the communityHooker, Worthington
Science
Physician and patient : $b or, a practical view of the mutual duties, relations and interests of the medical profession and the community
Hooker, Worthington
Medical ethics; Physician and patient; Physicians; Quacks and quackery
The most common of these palpable shapes which disease is supposed to
assume, is that of “humors,” as they are termed in popular language.
The disappearance of a “humor” is the _effect_ quite as often as it
is the cause of disease; and yet it is very difficult to make people
understand this—they persist in thinking it always to be a cause.
So also, if a patient, on recovering from any sickness, has some
eruption appear upon the skin, it is taken for granted, that it was
this “humor” that has been inside all the time, which has caused all
the sickness; and now that it has ceased to play its pranks among the
internal organs, and has come out, the patient as a consequence gets
well. It never enters their minds, that the eruption may be simply
a result of that revival of the energies of the system, which is
consequent upon its escape from the depressing influence of disease.
This idea of the palpable shape of disease gives rise to the popular
error, which is so prevalent, in regard to the necessity of getting
out _all_ the eruption in such diseases, as scarlet fever, measles,
&c. The idea is that there is a certain amount in the system, and
that this must _all_ be brought out upon the skin, or the patient
will suffer some bad consequences from this retention of morbid
matter. This notion is entirely erroneous. The eruption in such
cases is not the coming out or throwing off of diseased matter
contained in the system, but it is merely one of a succession
of processes in the natural course of the disease. It is indeed
necessary that this process should be well executed, and if the
natural energies of the system do not prove adequate, they should
be assisted by medicine. But ordinarily they are adequate; and in
comparatively very few cases, is there any need of any assistance
from art in bringing out the eruption. Most of the dosing so common
in scarlet fever and in measles, for this purpose, is worse than
useless—it aggravates the symptoms, multiplying and inflaming the
eruption beyond the necessities of the case, and it increases
the complications which are incidental to it. Death is often the
consequence of such officious interference with nature’s regular
processes.
Public-domain text, read in full here on John Shaqi.
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